0001437749-15-021477.txt : 20151125
0001437749-15-021477.hdr.sgml : 20151125
20151125142955
ACCESSION NUMBER: 0001437749-15-021477
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151123
FILED AS OF DATE: 20151125
DATE AS OF CHANGE: 20151125
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: OMNICOMM SYSTEMS INC
CENTRAL INDEX KEY: 0001034592
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 113349762
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2101 W COMMERCIAL BLVD.
STREET 2: SUITE 3500
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33309
BUSINESS PHONE: 954-473-1254
MAIL ADDRESS:
STREET 1: 2101 W COMMERCIAL BLVD.
STREET 2: SUITE 3500
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33309
FORMER COMPANY:
FORMER CONFORMED NAME: CORAL DEVELOPMENT CORP
DATE OF NAME CHANGE: 19970225
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WIT CORNELIS F
CENTRAL INDEX KEY: 0001238906
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25203
FILM NUMBER: 151255746
MAIL ADDRESS:
STREET 1: 2101 WEST COMMERCIAL BLVD.
STREET 2: SUITE 3500
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33309
4
1
rdgdoc.xml
FORM 4
X0306
4
2015-11-23
0001034592
OMNICOMM SYSTEMS INC
OMCM
0001238906
WIT CORNELIS F
2101 W. COMMERCIAL BLVD.
SUITE 3500
FORT LAUDERDALE
FL
33309
1
1
1
Chief Executive Officer
Convertible Debt
0.25
2015-11-23
4
S
0
625000
D
2009-09-30
2015-11-23
Common Stock
2500000
0
D
Common Stock Warrant
0.25
2015-11-23
4
S
0
4000000
0.03
D
2015-10-15
2015-11-23
Common Stock
4000000
2000000
D
Common Stock Warrant
0.25
2015-11-23
4
S
0
2500000
D
2009-09-30
2015-11-23
Common Stock
2500000
0
D
The Reporting Person sold the Common Stock Warrants and Convertible Debt for a total consideration of $656,250.
/s/ Cornelis F. Wit
2015-11-25